Provider Demographics
NPI:1972755825
Name:JAMES W. ADKINS, MD PA
Entity Type:Organization
Organization Name:JAMES W. ADKINS, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:LAMBORN-LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-785-8877
Mailing Address - Street 1:2595 TAMPA RD STE R
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3132
Mailing Address - Country:US
Mailing Address - Phone:727-785-8877
Mailing Address - Fax:727-785-3933
Practice Address - Street 1:2595 TAMPA RD STE R
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3132
Practice Address - Country:US
Practice Address - Phone:727-785-8877
Practice Address - Fax:727-934-1773
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES W. ADKINS, MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-22
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0032360174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50847Medicare PIN
FLD55862Medicare UPIN